Organization Active NPI

Simply Eyes Hawaii LLC

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1467284935
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SIMPLY EYES HAWAII LLC
Practice address
1150 S King St Ste 201
Honolulu, HI 96814-1951
Phone
(808) 949-2662
NPI assigned
Aug 14, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sherry Sum Yin WongNPI 1538843610
Title
Optometrist
Phone
(808) 949-2662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1150 S King St Ste 201
Honolulu, HI 96814-1951

Mailing address

1150 S King St Ste 201
Honolulu, HI 96814-1951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241108000770 HI Part B Supplier - Clinic/Group Practice 2769916022 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1150 S King St
Ste 201
Honolulu, HI 96814
Phone (808) 596-0955

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1467284935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S KING ST STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S KING ST STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141951",
            "telephone_number": "808-949-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY EYES HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "SUM YIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "808-949-2662"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.